Assisted living in my home? - page 2

After a very long, exhausting week and half a bottle of wine this idea occurred to me, and I wanted to see how complicated it would be to do. I am an RN in Georgia right now, with experience in med-surg, highly geriatric... Read More

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    I would definitely contact your state board that regulates nursing homes, rest homes, and assisted living and get their definitions of what each one is, and the regulations for each. This may help you decide how many hoops you want to jump, what level of acuity you want to manage, setting criteria for when someone has to move out, etc.

    You will definitely need an EIN (employer ID number, even if you are the only employee), so contact a good tax accountant to help you with that aspect of your business. That person can also advise you on how to incorporate, what form to file with your state to do that, etc. Do not wait until later to do that. Do it first. If you will have employees (you're not going to work/take call 24/7, are you?) you'll need to look into tax withholding, paying into the state work comp fund, etc. If you are not medicare/medicaid certified you won't have to do CORI checks, bonding, insurance for malfeasance by your employees...but you may be personally liable if they steal or injure someone, etc. And cover no-shows yourself... Sure you want to take that on?

    Then you call your malpractice insurer and ask them what they think you need coverage for-- or what they won't cover you for. There's a lot you need to think about. It's not as easy as, "Gee, i can help old folks who need a little support in my house."
    somenurse likes this.

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    I was the wellness director at an AL complex and worked with the homes that are used as assisted living 6 bed to 10 beds . Most states want you to follow the rules for the regular houses especially when it comes to having more than 3 people. You have to make sure meds are done correctly etc. You could look into independent hsing for seniors who are concerned about living along but do not need any assistance. So will be able to take care of their meds but they are past the ability to take care of meals, laundry and cleaning house, they also will need transportation etc. It could be per state for rules but I would call a small AL and pretend your looking for your parents and want to know what regulations cover them. Also check your state board of nursing for the rules that are there if your a nurse you are suppose to follow the state rules! PS loved the job was with the company for 4 yrs until a new state manager came in and ripped it out from under me. So I am also looking into something of my own. Good luck.
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    Just to add on what Grn Tea said about your EIN number and what form you should take for your business..after you figure out whether to incorporate or do a limited liability, I advise using Legal Zoom. I haved used them to file for both of my businesses and it was a breeze.
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    I realize you are in Georgia but here in Florida we have an official title for what you want to do. It's called an Adult Family Care Home, or AFCA. It is for up to 5 residents, but it must actually be in your home. You, or one of your staff members, must live there full time.

    They are all over Miami, but I have seen fewer in other parts of Florida. Every one that I have ever been in (providing continuous care for one of their Hospice patient's) has been much nicer and more comfortable than most ALF's.
    I think it's a great way to stick your toe into the ALF water and see if you like it. At least see if you like running one.

    Good luck!
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    Quote from BerryHappy
    I realize you are in Georgia but here in Florida we have an official title for what you want to do. It's called an Adult Family Care Home, or AFCA. It is for up to 5 residents, but it must actually be in your home. You, or one of your staff members, must live there full time.

    They are all over Miami, but I have seen fewer in other parts of Florida. Every one that I have ever been in (providing continuous care for one of their Hospice patient's) has been much nicer and more comfortable than most ALF's.
    I think it's a great way to stick your toe into the ALF water and see if you like it. At least see if you like running one.

    Good luck!

    Hmm, you know, that's something I hadn't considered, hospice care. I think it is worth thinking about. I don't know how well I would cope with getting attached to these patients in my home, knowing full well they will die.
    Do you have any idea where I would look, who I would call, to get information on AFCA's in GA? BON?


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